Vitexin Mitigates Staphylococcus aureus-Induced Mastitis via Regulation of ROS/ER Stress/NF-κB/MAPK Pathway

Mastitis, caused by a variety of pathogenic microorganisms, seriously threatens the safety and economic benefits of the dairy industry. Vitexin, a flavone glucoside found in many plant species, has been widely reported to have antioxidant, anti-inflammatory, antiviral, anticancer, neuroprotective, and cardioprotective effects. However, few studies have explored the effect of vitexin on mastitis. This study is aimed at exploring whether the antioxidant and anti-inflammatory functions of vitexin can improve Staphylococcus aureus-induced mastitis and its possible molecular mechanism. The expression profiles of S. aureus-infected bovine mammary epithelial cells and gland tissues from the GEO data set (GSE94056 and GSE139612) were analyzed and found that DEGs were mainly involved in immune signaling pathways, apoptosis, and ER stress through GO and KEGG enrichment. Vitexin blocked the production of ROS and increased the activity of antioxidant enzymes (SOD, GSH-PX, and CAT) via activation of PPARγ in vivo and in vitro. In addition, vitexin reduced the production of inflammatory cytokines (TNF-α, IL-1β, and IL-6) and inhibited apoptosis in MAC-T cells and mouse mammary tissues infected with Staphylococcus aureus. Moreover, vitexin decreased the expression of PDI, Ero1-Lα, p-IRE1α, PERK, p-eIF2α, and CHOP protein but increased BiP in both mammary gland cells and tissues challenged by S. aureus. Western blot results also found that the phosphorylation levels of JNK, ERK, p38, and p65 were reduced in vitexin-treated tissues and cells. Vitexin inhibited the production of ROS through promoting PPARγ, increased the activity of antioxidant enzymes, and reduced inflammatory cytokines and apoptosis by alleviating ER stress and inactivation MAPKs and NF-κB signaling pathway. Vitexin maybe have great potential to be a preventive and therapeutic agent for mastitis.


Introduction
Staphylococcus aureus (S. aureus) is an important pathogenic microorganism that causes food-borne infections, and it is also the main pathogen that causes mastitis in ruminants [1,2]. Milk produced by cows suffering from S. aureus mastitis is one of the most important sources of milk contamination, whereas raw milk and dairy products are the natural medium for the growth of S. aureus [3]. S. aureus is a common opportunistic pathogen in the farm environment. Lactating dairy cows are highly susceptible to infec-tion and transmission of S. aureus due to open lactation passages and exposure to contaminants such as milking equipment. The exotoxin produced by S. aureus can easily cause food poisoning [4]. Once exotoxin enters the gut, the T-cell inflammatory cytokine storm is triggered in the host [5,6]. S. aureus is a common pathogen of dairy cow mastitis, which seriously affects milk production and quality and causes huge economic losses to the dairy industry [7,8]. The mechanisms by which S. aureus challenge the host immune response are complicated. During the colonization and invasion of S. aureus, white blood cells are recruited to the site of infection, and white blood cells produce a series of reactive substances (including superoxide, hydrogen peroxide, nitric oxide, and hypohalous acid), which can modify and inactivate cells large molecules, even lead to growth defects or death [9]. Oxidative stress caused by S. aureus produces oxidants that react with cell macromolecules [10]. The accumulation of a large number of reactive oxygen species (ROS) attacked oxidized proteins, lipids, and DNA to cause oxidative damage is a characteristic of many inflammatory diseases [11]. ROS causes endoplasmic reticulum (ER) stress, which breaks the ER redox environment and induces protein folding errors [12,13]. Persistent ER stress can also trigger an inflammatory response through the unfolded protein response (UPR) pathway [14]. ER participates in the modification (including disulfide bonds, aminoglycosylation, and folding) of secreted proteins and transmembrane proteins. Immunoglobulin heavy chain binding protein (BiP) and protein disulfide isomerase (PDI), molecular chaperone proteins in the ER, play an important role in protein folding and oxidation [15]. Protein kinase R-(PKR-) like endoplasmic reticulum kinase (PERK) and inositol-requiring enzyme 1α (IRE1α) serve as a quality controller for protein synthesis in the endoplasmic reticulum [16][17][18]. Once UPR is activated in the context of ER stress, BiP will separate from PERK and IRE1α and cause their activation, promoting the transcription of ER stress response genes [16,19]. PERK directly phosphorylates eIF2α after autophosphorylation, thereby reducing protein translation and promoting the production of C/EBP homologous protein (CHOP) [20]. Elevated CHOP plays an important role in apoptosis induced by ER stress [21]. S. aureus also induced a cell-mediated immune response in the mouse mammary gland, which significantly promoted the production of IFN-γ and increased the percentage of CD4 + and CD8 + T cells [22]. The treatment of dairy cow mastitis usually uses antibiotics including penicillin, sulfonamides, tetracyclines, and glycopeptides [23]. However, the emergence of antibiotic resistance to S. aureus (such as methicillin-resistant S. aureus) complicates the treatment [24,25]. Natural compounds have a variety of biological activities (anti-inflammatory, antioxidant, anticancer, etc.), which is a huge treasure house for screening potential mastitis treatment drugs.
Vitexin (8-beta-D-glucopyranosyl-apigenin) is an apigenin flavonoid glycoside found in food and medicinal plants, which has a variety of pharmacological effects, including anti-inflammatory, anticancer, antioxidant, analgesic, and neuroprotective effects [26,27]. Vitexin inhibited the recruitment of neutrophils and also regulated the transcription factors of proinflammatory mediators and reduced the expression of p-p38, p-ERK1/2, and p-JNK in LPSinduced cells [28]. Studies have reported that vitexin repressed the activation of TLR4/NF-κB signaling pathway in colitis liver injury [29]. Many studies have also found that vitexin exerts anti-inflammatory effects on endothelial cell damage [30], acute lung injury [31], allergic asthma [32], and neuroinflammation [33]. Both in vitro and in vivo data show that vitexin can enhance the body's antioxidant capacity and reduce the occurrence of oxidative stress [34].
Vitexin has been proven to produce a powerful antioxidant defense by acting as an effective oxygen free radical scavenger to increase the activity of antioxidant enzymes and upregulate the protein of antioxidant reactions [35]. Based on the various biological activity properties of vitexin, we hypothesized that vitexin could improve the oxidative stress and inflammation induced by S. aureus.
In this study, to confirm the therapeutic effect of vitexin on mastitis stimulated by S. aureus, we simulated mastitis on cow mammary epithelial cells and mouse mammary glands in vitro and in vivo and explored the possible molecular mechanisms of vitexin exerting antioxidation and anti-inflammation.

Cell
Culture and Treatment. The cow mammary epithelial cell line MAC-T was purchased from the American Type Culture Collection (ATCC, USA). The cell culture method was referred to previous studies [36]. Briefly, cells were grown in DMEM/F-12 (1 : 1) medium (Gibco, USA) supplemented with 10% fetal bovine serum (FBS; AUSGENEX, AUS), 5 μg/mL insulin (Biosharp, China), 5 mmol/L L-glutamine (Biosharp, China), 1 μg/mL hydrocortisone (Sigma-Aldrich, USA), and 100 U/mL penicillin and 100 μg/mL streptomycin (Invitrogen, USA) at 37°C incubator with 5% CO 2 . S. aureus CVCC3051 strain was available at China Veterinary Culture Collection (CVCC, China), which was cultured with lysogeny broth (LB) and its colony forming unit (CFU) was calculated using the LB plate counting method. S. aureus was inactivated in a water bath at 85°C for 15 min and then diluted it with DMEM/F-12 medium according to CFU. MAC-T cells were seeded into a six-well plate at 5 × 10 5 cells/well. When the degree of cell fusion reached 60%-70%, S. aureus was added to the four wells of the six-well plate at a multiplicity of infection (MOI) of 100. After infected for 6 h, different concentrations of vitexin were added to the four wells, respectively. The six groups are (1) Control, (2) S. aureus, (3) S. aureus+10 μM vitexin, (4) S. aureus+20 μM vitexin, (5) S. aureus+40 μM vitexin, and (6) 40 μM vitexin. After incubating for another 24 h, cell samples were harvested for RNA or protein extraction. Detailed methods referred to previous research [37]. In short, MAC-T cells were planted into 96-well plates at a density of 1 × 10 4 cells/well, and then, the cells were treated with different concentrations of vitexin (0, 10, 20, and 40 μM) for 24 h. 10 μL CCK-8 reagent (Yeasen, Shanghai, China) was 2 Oxidative Medicine and Cellular Longevity added to each well and incubated at 37°C for 4 h. The microplate reader measured the OD value at 450 nm.

Flow Cytometry Analysis. Apoptosis was examined with
Annexin V-FITC/PI Double Stain Apoptosis Detection Kit (BestBio, China). MAC-T cells were treated with S. aureus and/or vitexin, and then, the cells were digested and centrifuged to collect suspended cells. 400 μL 1× Annexin V binding solution was used to resuspend the cells at a concentration of approximately 1 × 10 6 cells/mL. Then, 5 μL Annexin V-FITC solution was added to the cell suspension, mixed gently, and incubated for 15 min at 4°C in the dark. Then, 5 μL PI was added and incubated for 5 min at 4°C in the dark. Finally, the flow cytometer was hired immediately to obtain the results.

Mouse and Mastitis Animal Models.
A total of 60 KM female mice (6-7 weeks old, 32-34 g weight) were gained and fed in Huazhong Agricultural University Laboratory Animal Research Center (Wuhan, China). All mice were allowed to obtain food and water ad libitum in the environment maintained at 25°C ± 1°C and 65% humidity. All procedures of this study were carried out in accordance with standards provided by the Ethical Committee on Animal Research at Huazhong Agricultural University. All mice were randomly divided into 6 groups: control group, S. aureus group, S. aureus + vitexin (15,30, and 60 mg/kg) groups, and vitexin (60 mg/kg) group. S. aureus was injected into the mammary ducts of mice to produce mastitis in mice according to previous studies [7]. Vitexin was diluted with sterile PBS to 20 mg/mL. After mouse mammary gland infection with S. aureus for 24 h, the control group was intraperitoneally injected with sterile PBS. As the previous study described the dosage of vitexin [38,39], the S. aureus + vitexin (15,30, and 60 mg/kg) groups were intraperitoneally injected with vitexin at different doses (15,30, and 60 mg/kg); the vitexin (60 mg/kg) group was intraperitoneally injected with vitexin at 60 mg/kg. All groups were injected three times with an interval of 8 h. Then, the mice were euthanized at 8 h after the last drug treatment, and breast tissues were harvested and stored at −80°C refrigerator.
2.6. Hematoxylin and Eosin (H&E) Staining. H&E staining was used to evaluate the histopathology of S. aureus infection in mouse breast tissue. The experimental method was in accordance with the previous research [40]. In short, the collected fresh mouse breast tissue was immediately fixed in 4% paraformaldehyde solution, paraffin embedded, sectioned, transparent, dehydrated, and H&E stained. Finally, the histopathological changes were checked by an optical microscope.
2.7. Myeloperoxidase (MPO) Activity. MPO Assay Kit (Nanjing Jiancheng Bioengineering Institute, China) was bought to detect MPO activity. The mouse mammary gland tissue was accurately weighed, and the homogenization medium (w : v = 1 : 19) was added to prepare a 5% tissue homogenate.
2.8. Enzyme-Linked Immunosorbent Assay (ELISA). The effect of vitexin on proinflammatory cytokine production was examined in S. aureus challenge-MAC-T cells and mouse breast tissues. The concentration of TNF-α, IL-1β, and IL-6 was detected by ELISA kits (BioLegend, San Diego, CA, USA) following the manufacturer's instructions.      Tissue ROS Detection Kit (BBoxiProbe O13®) was obtained from BestBio (Shanghai, China). The harvested fresh mouse mammary gland tissue was accurately weighed and then prepared into a homogenizer with a glass homogenizer. The homogenate supernatant was collected by centrifugation and added into 96-well plate with 2 μL probe O13. After incubating for 30 min at 37°C in the dark, the fluorescence intensity was detected with a fluorescence microplate reader at Ex/Em = 535/610 nm.

Antioxidant Biochemical Indicators.
Total antioxidant capacity (T-AOC), superoxide dismutase (SOD), glutathione peroxidase (GSH-PX), catalase (CAT), and malondialdehyde (MDA) were determined to assess antioxidant capacity. T-AOC assay kit, SOD assay kit (WST-1 method), GSH-PX assay kit, CAT assay kit (visible light), and MDA assay kit (TBA method) were bought from Nanjing Jiancheng Bioengineering Institute (Nanjing, China), and the inspection process was carried out in accordance with the instructions.

Real Time-Quantitative Polymerase Chain Reaction
(RT-qPCR). The total RNA of mouse mammary gland tissue and MAC-T cells was extracted with TRIzol reagent (Solarbio, Beijing). Q5000 ultramicro spectrophotometer (Quawell, USA) was used to evaluate RNA purity and measure RNA concentration. Hifair® III 1st Strand cDNA Synthesis SuperMix for qPCR (gDNA digester plus) and Hieff® qPCR SYBR® Green Master Mix were acquired from Yeasen (Shanghai, China) and used to examine target gene expression by qPCR with 2 −ΔΔCq method. The primers used in this study are shown in Table 1.
2.12. Western Blot. The total protein of mouse breast tissues and MAC-T cells was separated by RIPA reagent (Biosharp, China). The BCA Protein Assay Kit (Thermo Scientific, MA, USA) was performed to detect protein concentration. The protein was separated by sodium dodecyl sulfatepolyacrylamide gel electrophoresis (SDS-PAGE); then, polyvinylidene difluoride (PVDF) membranes were used to receive the transferred protein from the gel. The membranes were blocked with 5% skimmed milk for 2 h; then, the primary antibodies (BiP, Ero1-Lα, PDI, IRE1α, PERK, CHOP, JNK, ERK, p38, p65, and β-actin from Cell Signaling Technology, USA; PPARγ from Abcam, UK) were incubated at 4°C overnight, and then, the secondary antibody (anti-rabbit IgG and HRP-linked antibody from Cell Signaling Technology, USA) was incubated at 37°C for 1 h. Finally, the immunoblot signal was displayed with ECL ultrasensitive chemiluminescent solution with chemiluminescence imaging system.
2.14. Statistical Analysis. Statistical analysis was processed with the GraphPad Prism 9.00 software. Statistical data were expressed as mean ± SEM of three individual experiments. After the normality test, differences between groups were analyzed by one-way ANOVA or Student's t-tests. #p < 0:01 vs. the control group, * p < 0:05 vs. the S. aureus group, and * * p < 0:01 vs. the S. aureus group.  Oxidative Medicine and Cellular Longevity

DEG Analysis of S. aureus-Induced Mastitis from GEO
Database. Given that the host infection event usually undergoes a large number of complex gene expression changes, we analyzed the expression profiles of bovine mammary epithelial cell and gland cistern infected with S. aureus from the GEO dataset (GSE94056 and GSE139612) [41,42]. In these two GEO datasets, GEO2R was used to analyze the DEGs [43,44]. Furthermore, the intersection of these DEGs was calculated through drawing Venn diagrams. The DEGs of two GEO datasets contained 283 identical DEGs (Figure 1(a)). These 283 DEGs were further analyzed by KEGG and GO enrichment. We found that these DEGs mainly involve innate immunity and apoptosis signaling pathways (MAPK signaling pathway, TNF signaling pathway, Toll-like receptor signaling pathway, RIG-I-like receptor signaling pathway, etc.) (Figure 1(b)). The biological process that DEGs participated in included extracellular structure organization, extracellular matrix organization,   (Figure 1(c)). These DEGs were involved in the extracellular matrix, collagen-containing extracellular matrix and glutamatergic synapses in cellular components term (Figure 1(d)). The molecular functions of these DEGs were enzyme activator activity, GTPase regulator activity, nucleoside-triphosphatase regulator activity, GTPase activator activity, extracellular matrix structural constituent, integrin binding, extracellular matrix structural constituent, conferring compression resistance, and MAP kinase activity (Figure 1(e)). To further explore the interaction between these DEGs, we used the STRING database to build an inter-action network diagram (Figure 1(f)) and built an interaction network diagram for the extremely significant DEGs separately (Figure 1(g)).
3.2. Network Pharmacology Analysis of Vitexin. As displayed in Figure 2, our results showed that vitexin has good druggability with 79 potential target genes. There were three target genes (PPARγ, MMP2, and GCGR) that intersect with common DEGs, among which PPARγ was involved in oxidative stress.

The Purified Substance Vitexin Had No Effect on the
Viability of MAC-T Cells. Vitexin is the natural 8-C glucoside of the flavone apigenin (mung bean [45], chia leaf [46], Prosopis cineraria leaves [47], etc.), which is very likely to become a natural antioxidant. As illustrated in Figure 3(a),    9 Oxidative Medicine and Cellular Longevity vitexin is a flavone glucoside, also known as apigenin-8-C-β-D-glucopyranoside. The purity of the extracted vitexin was detected by HPLC, and the extract was found to be a highpurity vitexin (Figure 3(b)). For the follow-up in vivo and in vitro experiments of vitexin, we tested and analyzed the effect of vitexin on cytotoxicity through CCK-8. CCK-8 results showed that vitexin was not toxic to MAC-T cells at least in the concentration range below 40 μM (Figure 3(c)). (Figure 4(a)). But vitexin reduced the apoptosis rate of S. aureus-infected MAC-T cells in a dose-dependent manner (Figure 4(b)). In addition, the level of proinflammatory cytokine production was evaluated in S. aureus-induced MAC-T cells by qPCR and ELISA. The mRNA level of proinflammatory cytokines was greatly increased under the stimulation of S. aureus. On the other hand, vitexin inhibited the production of inflammatory factors in a dose-dependent manner (Figures 4(c)-4(e)). The released TNF-α, IL-1β, and IL-6 concentrations in the cell supernatant were evaluated by ELISA, whose results were consistent with the trend of qPCR (Figures 4(f)-4(h)).

Vitexin Inhibited ROS Production on S. aureus
Stimulated-MAC-T Cells. The level of intracellular ROS was evaluated by DHE probe, and the results revealed that S. aureus infection of MAC-T cells rapidly promoted the production of intracellular ROS. However, vitexin could effectively suppress the MAC-T cells stimulated by S. aureus to produce a large amount of ROS (Figures 5(a) and 5(b)). The body's antioxidant capacity is closely related to enzymes such as SOD, GSH-PX, and CAT, which eliminate free radicals and ROS so as not to trigger lipid peroxidation. We tested the T-AOC and the abovementioned enzyme activity.
The T-AOC and enzyme activities of SOD, GSH-PX, and CAT in MAC-T cells stimulated by S. aureus were much lower than control, but vitexin obviously increased the T-AOC, SOD, GSH-PX, and CAT activities on S. aureus challenged-MAC-T cells (Figures 5(c)-5(f)). Conversely, vitexin prevented the production of MDA in a dosedependent manner on MAC-T cells stimulated by S. aureus ( Figure 5(g)). To further explore the mechanism of the antioxidant effect of vitexin, PPARγ was predicted as an interacting protein by investigating the possible target genes of vitexin. Western blot results revealed that PPARγ was inhibited after S. aureus infection, whereas vitexin greatly promoted  ). In addition, Western blot was also hired to evaluate MAPK and NF-κB signaling pathways. The phosphorylation levels of JNK, ERK, p38, and p65 in S. aureus-induced MAC-T cells dramatically increased compared to the control. Reversely, vitexin significantly restricted the expression of p-JNK, p-ERK, p-p38, and p-p65 (Figures 6(c) and 6(d)).

Vitexin Improved S. aureus-Induced Mastitis in Mice.
A mouse model of mastitis was established to assess the protective effect of vitexin. H&E staining was performed to evaluate the degree of damage to the mammary gland tissue of mice infected with S. aureus. As illustrated in Figure 7(a), the acinar cavity epithelial cells of mice mammary glands were attacked by S. aureus causing degeneration, necrosis, and even shedding to the acinar cavity. At the same time, the acinar cavity was also filled with serum and a large number of neutrophils and macrophages. Vitexin maintained the integrity of the acinar cavity epithelial cells and relieved the infiltration of inflammatory cells. Moreover, MPO was  The proinflammation cytokines TNF-α, IL-1β, and IL-6 in mammary gland tissues were detected by ELISA. Data was expressed as means ± SEM of three independent experiments. #p < 0:01 vs. the control group. * p < 0:05 vs. the S. aureus group; * * p < 0:01 vs. the S. aureus group. 14 Oxidative Medicine and Cellular Longevity checked to evaluate the degree of inflammation in the mammary gland tissues, and the result indicated that vitexin remarkably suppressed MPO vitality in a dosedependent manner (Figure 7(b)). In addition, qPCR and ELISA were employed to examine proinflammatory cytokines (TNF-α, IL-1β, and IL-6) which were depressed by vitexin both in mRNA and protein levels (Figures 7(c) and 7(d)).   Figure 9: Vitexin relieved ER stress to inactivate MAPK and NF-κB signaling pathways in S. aureus-induced mastitis on mice. (a) The protein levels of PDI, BiP, Ero1-Lα, p-IRE1α, PERK, p-eIF2α, and CHOP in mammary gland tissues. (c) The expression levels of JNK, ERK, p38, and p65 proteins in mammary gland tissues. (b, d) Protein gray values were measured by the ImageJ software. Data was expressed as means ± SEM of three independent experiments. #p < 0:01 vs. the control group. * p < 0:05 vs. the S. aureus group; * * p < 0:01 vs. the S. aureus group. 16 Oxidative Medicine and Cellular Longevity 3.8. Vitexin Reduced ROS Production in Mammary Tissues of Mice Infected with S. aureus. The tissue ROS and antioxidant capacity of mice with mastitis were determined. We found that S. aureus infected mouse mammary tissue strikingly increased the level of tissue ROS, whereas vitexin hindered the rise of ROS (Figure 8(a)). Furthermore, vitexin reversed S. aureus induced the fall of T-AOC (Figure 8(b)), SOD (Figure 8(c)), GSH-PX (Figure 8(d)), and CAT (Figure 8(e)). In contrast, MDA level was impeded by vitexin, compared with the S. aureus group (Figure 8(f)). PPARγ protein levels were downregulated in S. aureus-infected cells, and vitexin reversed this decline (Figures 8(g) and 8(h)).

Discussion
Dairy cow mastitis drastically reduces milk production and milk quality, posing a serious threat to the economic benefits of the dairy industry [25,48]. The decrease in milk production during mastitis in dairy cows is due to pathogens (such as S. aureus and Escherichia coli) that induce hypoxia, oxidative stress, and apoptosis, while suppressing the expression of milk genes (Csn2, Lalba, and Csn1s1) in the mammary gland [49,50]. Through the analysis of the GEO dataset (GSE94056 and GSE139612), we also found that S. aureus infection caused a large number of DEGs in the bovine mammary gland tissues and cells, which are inseparable from the activation of oxidative stress induced-ER stress and inflammation-related signaling pathways. Therefore, looking for Chinese herbal medicines that have both antioxidant and anti-inflammatory properties is very likely to become drugs for the treatment of mastitis. Vitexin, a natural flavonoid compound found in many plant species [35], has been widely reported to have antioxidant, anti-inflammatory, antiviral, neuroprotective, and

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Oxidative Medicine and Cellular Longevity cardioprotective effects [27,34]. However, few studies have explored the effect of vitexin on mastitis. In this study, in vivo and in vitro models of mastitis were successfully established. We found that vitexin reduced the production of ROS, protected the activity of antioxidant enzymes, and inhibited cell apoptosis and the production of proinflammatory cytokines in both MAC-T cell and mouse breast tissues. Previous studies have also confirmed that vitexin enhanced cell viability and/or decreased tissue damage by upregulating cell resistance to oxidative stress inducers [30,31,51]. Meanwhile, the anti-inflammatory activity of vitexin has attracted more and more attention, and there has been a lot of research involved. Vitexin downregulated the release of inflammatory cytokines (TNF-α, IL-1β, and IL-6) and enzymes (iNOS) by regulating transcription factors and kinases (Nrf-2, NF-κB, and MAPKs) [52,53]. To explore the molecular mechanism of vitexin's antioxidation and anti-inflammation, we focused on the connection between ER stress and inflammation.
As a nuclear receptor transcription factor, PPARγ is involved in the regulation of ROS by regulating redox and biosynthetic processes in mitochondria [54,55]. Activation of PPARγ inhibited oxidative stress and also negatively regulated the expression of AP-1, NF-κB, and other inflammatory response genes [56]. In the present study, PPARγ was found through the intersection of prediction target genes of vitexin and inflammatory disease-related genes. The expression level of PPARγ was suppressed during S. aureus infection, while vitexin treatment enhanced its protein expression. Moreover, GW1929 significantly hindered the increase of ROS in S. aureus-infected cells. GW9662 reversed vitexin-induced ROS inhibition under S. aureusstimulated conditions. From these results, we speculated that vitexin might alleviate oxidative stress by regulating PPARγ. Oxidative stress is caused by the excessive production of ROS, which interferes with the ER protein folding mechanism to result in the accumulation of abnormal proteins in the ER, thereby causing ER stress [16,52]. Our study found that vitexin significantly inhibited PDI, Ero1-Lα, p-IRE1α, PERK, and CHOP protein and promoted the expression of BiP in S. aureus-induced mastitis, suggesting that vitexin effectively prevented the production of ROS amplified by ER and programmed cell death triggered by CHOP.
ER stress is also involved in the regulation of immune signal pathways, such as MAPK and NF-κB signaling pathways [57]. IRE1α can stimulate the activation of apoptosis signal kinase-1 (ASK1) and then activate downstream kinases Jun-N-terminal kinase (JNK) and p38 mitogenactivated protein kinase (p38 MAPK) [21,58]. In this study, p-JNK, p-ERK, and p-p38 were significantly increased under S. aureus challenge. Vitexin treatment downregulated MAPK signaling proteins in the infected group compared with the untreated group. Therefore, we conjectured that vitexin might reduce the production of inflammatory factors by inhibiting the activation of MAPKs. PERK can also indirectly induce NF-κB through eIF2α [59]. Vitexin inhibited p-p65 protein expression when S. aureus activated p65, indicating that vitexin alleviated inflammation and apoptosis partly by regulating the NF-κB signaling pathway.

Conclusion
In summary, S. aureus-induced mastitis produced a large number of DEGs, which were mainly involved in immune signaling pathways, apoptosis, and ER stress. Vitexin could inhibit the production of ROS by promoting PPARγ activity, increased the activity of antioxidant enzymes, and reduced inflammatory cytokines and apoptosis, possibly by alleviating ER stress and inactivation MAPKs and NF-κB signaling pathway ( Figure 10). Vitexin may become a potential drug for the treatment of mastitis in dairy cows.